National Provider Identifier [NPI]: |
1417913310 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
ISAAC |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10755 FALLS RD |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
LUTHERVILLE |
Zip Code Of The Provider |
210934515 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
1789 |
Number Of Medicare Beneficiaries |
712 |
Total Submitted Charge Amount |
147575 |
Total Medicare Allowed Amount |
67684.87 |
Total Medicare Payment Amount |
51607.38 |
Total Medicare Standardized Payment Amount |
49979.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
296 |
Number Of Medicare Beneficiaries With Drug Services |
253 |
Total Drug Submitted ChargeAmount |
9450 |
Total Drug Medicare AllowedAmount |
4444.6 |
Total Drug Medicare PaymentAmount |
4291.2 |
Total Drug Medicare Standardized Payment Amount |
4291.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
1493 |
Number Of Medicare Beneficiaries With Medical Services |
711 |
Total Medical Submitted Charge Amount |
138125 |
Total Medical Medicare Allowed Amount |
63240.27 |
Total Medical Medicare Payment Amount |
47316.18 |
Total Medical Medicare Standardized Payment Amount |
45687.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
446 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9717 |